1. Is this surgery done with a laser?
Initially, in the late 1980s, the surgery was done with Laser as a heat source, but regular electric cautery has proven more
practical. However, the term Laser stuck when discussing removal of the gallbladder when in fact, it is by Laparoscope
not Laser.
2. How often is this procedure performed?
This is one of the most common procedures done by general surgeons. Dr. Chengelis has done over a thousand in his
career with an excellent safety record.
3. What happens to the gas?
Carbon dioxide gas is removed at the end of the procedure. Small amounts can remain and on rare occasion cause
shoulder pain which resolves in a few days.
4. What are the risks of the procedure?
The major risks are leakage of bile, damage to a bile duct, bleeding, infection. All are very unusual, particularly
in the elective setting.
5. Why not just remove the stones and not the gallbladder?
This
is not technically practical and makes no sense since the organ is not needed.
6. Any other
treatment besides surgery for gallstones?
A medication called ursodiol (Actigal)
may slowly dissolve some gallstones in a small number of people. Treatments such as trying to melt the stones with
solvents, fracture them with lithotripsy (like kidney stones) have been tired but have proven impractical, mostly ineffective; especially
when compared to laparoscopic removal of the organ.
7. How much time until I can
resume activities such as driving ?
On average most people feel recovered in about 4 or 5 days. As with all laparoscopic surgery, resumption
of activities can be done when the patient feels able to do so. So, if you are comfortable with driving in a couple
of days and can do so safely without narcotic pain medicine then you may proceed. The same goes for any activity.
8.
What are my diet restrictions after the surgery ?
Removal
of the gall bladder does not limit your diet or eliminate any particular foods from your diet. Some patients may experience
minor changes in digestion and/or bowel function which is usually not long lasting.
9. How much pain will I experience ?
About 70 % of patients will have only mild to moderate pain and only need over-the-counter
pain medication upon returning home the day of surgery. This means you should try medications such as Tylenol or
Motrin to control the discomfort before you fill the narcotic prescription. Some patients will need narcotic prescription which can cause nausea and constipation and dizziness. You should
not drive while taking narcotics. The incision by the belly button tends to cause the most pain and can bruise
on occasion.
10. What is Single Incision Laparoscopic Cholecystectomy (SILS) ?
This is a new technique in laparoscopic surgery. A single
incision made in the umbilicus (belly button) takes the place of the usual four small incisions spaced on the abdomen. Once healed,
the umbilical incision is difficult to see and is nearly "scarless". This is an exciting option
for patients for whom cosmetic considerations are important. However, SILS is not the ideal choice for some patients.
